1. Renal Replacement Therapy in Neonates
- Author
-
Benjamin L. Spector and Jason Misurac
- Subjects
medicine.medical_specialty ,Continuous Renal Replacement Therapy ,medicine.medical_treatment ,Critical Illness ,urologic and male genital diseases ,Peritoneal dialysis ,03 medical and health sciences ,0302 clinical medicine ,Renal Dialysis ,030225 pediatrics ,Intensive Care Units, Neonatal ,Extracorporeal membrane oxygenation ,Medicine ,Humans ,Infant, Very Low Birth Weight ,030212 general & internal medicine ,Renal replacement therapy ,Intensive care medicine ,Modalities ,Disease entity ,Critically ill ,business.industry ,Acute kidney injury ,Infant, Newborn ,Acute Kidney Injury ,medicine.disease ,female genital diseases and pregnancy complications ,Renal Replacement Therapy ,Infant, Extremely Low Birth Weight ,Pediatrics, Perinatology and Child Health ,Hemodialysis ,business ,Peritoneal Dialysis - Abstract
Acute kidney injury (AKI) is a highly prevalent disease entity in the NICU, affecting nearly one-quarter of critically ill neonates by some reports. Though medical management remains the mainstay in the treatment of AKI, renal replacement therapy (RRT) is indicated when conservative measures are unable to maintain electrolytes, fluid balance, toxins, or waste products within a safe margin. Several modalities of RRT exist for use in neonatal populations, including peritoneal dialysis, hemodialysis, and continuous RRT. It is the aim of this review to introduce each of these RRT modalities, as well as to discuss their technical considerations, benefits, indications, contraindications, and complications.
- Published
- 2019